CMS Price Transparency Data
Blood antibody screen
Facility: Adventist Health White Memorial
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $29
- Cash Discount Price: $21
- vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Adventist Health White Memorial is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.54x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$29
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$53.24
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $21 (39%)
Insurance Median: $29 (54%)
Cash: $21 (39% of Medicare)
Ins. Median: $29 (54% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield Epn | $2 - $85 | 4% |
| Bc Medi-Cal | $3 | 6% |
| Blue Shield - All Other Plans | $3 - $99 | 6% |
| Blue Shield Mcr Adv | $3 - $107 | 6% |
| Access Medi-Cal | $4 | 8% |
| Ahp Medi-Cal | $4 | 8% |
| Alta Los Angeles Mcal 1/1/19 | $4 | 8% |
| Altamed Medi-Cal - All Other Plans | $4 | 8% |
| Avanti Mcal | $4 | 8% |
| Bella Vista Medi-Cal Op/Profee Only | $4 | 8% |
| Fcs Ipa Medi-Cal Op/Profee Only | $4 | 8% |
| Healthcare Inc Medi-Cal | $4 | 8% |
| Healthnet - All Other Plans | $4 - $161 | 8% |
| Healthnet Mcal | $4 | 8% |
| Kaiser- All Plans | $4 - $146 | 8% |
| Lasalle Mg Medi-Cal | $4 | 8% |
| Medi-Cal | $4 | 8% |
| Molina Medi-Cal | $4 | 8% |
| Pacific Alliance Medi-Cal | $4 | 8% |
| Pacific Ipa - All Other Plans | $4 - $136 | 8% |
| Pacific Ipa Medi-Cal | $4 | 8% |
| Preferred Ipa La Care Mcal Cap | $4 | 8% |
| Preferred Medi-Cal | $4 | 8% |
| UnitedHealthcare | $4 - $178 | 8% |
| Assoc Hispanic Physcns Mcal | $5 | 9% |
| Caremore Mcare - All Plans | $5 - $178 | 9% |
| Hcpamg - All Plans | $5 - $179 | 9% |
| Healthcare Inc - All Other Plans | $5 - $196 | 9% |
| Healthnet Comm Care | $5 - $167 | 9% |
| La Care Mcr Adv - All Plans | $5 - $196 | 9% |
| Preferred Healthy | $5 | 9% |
| Western Growers/Pinnacle - All Plans | $5 - $182 | 9% |
| First Heatlh Ppo - All Plans | $6 - $207 | 11% |
| Phcs Ppo - All Plans | $6 - $232 | 11% |
| Scan Health Mcare - All Plans | $6 - $232 | 11% |
| Ahf - All Plans | $7 - $268 | 13% |
| Beech Street - All Plans | $7 - $268 | 13% |
| Interplan Ppo - All Plans | $7 - $268 | 13% |
| Access Group | $8 | 15% |
| Ahp - All Other Plans | $8 | 15% |
| Corvel Corp - All Plans | $8 - $286 | 15% |
| Healthmannet - All Plans | $8 - $303 | 15% |
| Lasalle Mg Commercial - All Other Plans | $8 | 15% |
| Multiplan Ppo - All Plans | $8 - $296 | 15% |
| Next Inc Ppo - All Plans | $8 - $303 | 15% |
| Trpn - All Plans | $8 - $303 | 15% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $9 | 17% |
| Blue Shield Medi-Cal | $9 | 17% |
| Fpn Ppo - All Plans | $9 - $321 | 17% |
| Access Senior - All Other Plans | $10 | 19% |
| Ahp Senior | $10 | 19% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $10 | 19% |
| Altamed Connect | $10 | 19% |
| Avanti Mcr Adv - All Other Plans | $10 | 19% |
| Blue Cross Blue Shield | $10 - $120 | 19% |
| Brand New Day Mcare - All Plans | $10 | 19% |
| Bs Va Mcare | $10 | 19% |
| Care First Mcare - All Other Plans | $10 | 19% |
| Care First Medi-Cal | $10 - $13 | 19% |
| Clever Care - All Plans | $10 | 19% |
| Fcs Ipa Mcr Advan Op/Profee Only | $10 | 19% |
| Fcs Ipa Op/Profee Only - All Other Plans | $10 | 19% |
| Humana | $10 | 19% |
| Lasalle Mg Senior | $10 | 19% |
| Medicare (plans) | $10 | 19% |
| Molina Mcare | $10 | 19% |
| Pacific Alliance Mcare - All Other Plans | $10 | 19% |
| Preferred Senior | $10 | 19% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $10 | 19% |
| Tricare | $10 | 19% |
| Bright Health - All Plans | $11 | 21% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $12 | 23% |
| Preferred Commercial - All Other Plans | $12 | 23% |
| Intergrated Medical - All Plans | $13 | 24% |
| Molina Benefit Exchange - All Other Plans | $13 | 24% |
| Healthnet Mcr Adv | $15 - $546 | 28% |
| Php-Prospect Health Plan Cap - All Plans | $15 | 28% |
| Ah Employee Health Plan - All Plans | $18 | 34% |
| Centivo - All Plans | $22 | 41% |
| Cigna | $33 | 62% |
| Aetna | $75 | 141% |